NC nursing home patient trust bonds.
Flat 3%. Enter your amount.

A North Carolina nursing facility that holds residents’ personal money posts a resident trust fund bond securing those funds. The amount tracks the funds you hold on deposit — enter it and we issue the bond at a flat 3% with no credit check.

Required of facilities that hold and administer residents’ personal funds as a Medicaid-participation condition
Amount is sized to the resident funds you hold on deposit — typically the highest balance held
Flat 3%, no credit pull — enter your required bond amount and the premium updates
Flat 3%of your bond amount$275minimum premiumNo creditcheck to issue
Trusted by industry leaders
NYCEDC
BDG
Capital
McKinney
Terra
JLL
Triple Five
Georgetown
NYCEDC
BDG
Capital
McKinney
Terra
JLL
Triple Five
Georgetown
How it works

Apply to filed in one sitting.

No underwriting queue for the standard patient trust bond — enter your amount, pay, and file. Here is the whole thing:

TODAY · 5 MINUTES

Apply online

Your facility details, the bond amount your resident funds require, and the effective date — that is the entire application.

INSTANTLY

Issued on the spot

No credit check and no waiting — the executed bond is generated as soon as you pay. Larger amounts may get a quick review.

SAME DAY

File with your Medicaid enrollment

Submit the executed bond to satisfy your resident-trust-fund security requirement. Wet-ink originals mailed whenever the agency insists.

The whole pricing page.

Bond amount × 3% = your premium, one-time, $275 minimum. Enter the resident funds you hold and the premium updates.

$10,000 bond
$300
$25,000 bond
$750
$50,000 bond
$1,500
About this bond

What it is and who needs it.

What the patient trust bond covers

When a North Carolina nursing facility holds and manages a resident’s personal money — a resident trust fund — it acts as a fiduciary. The bond is a security for those funds: it guarantees the facility keeps the money separate and in trust, administers it on the residents’ behalf, and keeps an accurate accounting.

For facilities that participate in Medicaid, federal law requires a system that assures the security of residents’ personal funds — a surety bond is the common way to meet it, and North Carolina conditions a facility’s enrollment on holding one when it manages resident funds. The bond is filed for the benefit of the residents whose money the facility holds.

Because the exposure is the money on deposit, the bond amount is sized to the resident funds you hold — generally the highest aggregate balance of all resident accounts. If a facility misappropriates resident funds, a harmed resident (or the State on their behalf) can recover against the bond; if a claim is paid, the facility repays the surety. Enter your figure and we issue at a flat 3% with no credit check.

Resident personal funds — 42 CFR 483.10; NC MedicaidFederal nursing-facility rules (42 CFR 483.10, on protection of resident funds) require a participating facility that manages a resident’s personal funds to assure the security of those funds, commonly satisfied by a surety bond. North Carolina conditions Medicaid participation on the facility holding such security when it administers resident trust funds. The bond amount is set to the resident funds the facility holds on deposit — confirm your required figure with your agency or enrollment requirements.

You need this bond if you are

A nursing or skilled-care facility that holds residents’ personal funds in trust
Enrolling as a Medicaid provider that manages resident trust accounts
A new facility opening that will administer residents’ personal money
Re-sizing your bond after your resident trust balances grew

Five minutes, issued on the spot.

Submit the application with your required bond amount — the executed patient trust bond is generated instantly, ready to file.

Start the application →
FAQs

Common questions.

If yours isn't here, the bond team can usually answer within the hour.

How much is the North Carolina patient trust bond? +
The premium is a flat 3% of the bond amount, with a $275 minimum. The amount itself is sized to the resident funds your facility holds — generally the highest aggregate balance of resident accounts on deposit. Enter that figure and the quote updates.
How do I figure out my bond amount? +
Use the highest aggregate balance of all resident personal funds your facility holds on deposit. That is the exposure the bond secures. If you are unsure, your Medicaid enrollment requirements or agency contact can confirm the figure.
Why is this bond required? +
A facility that holds residents’ personal money acts as a fiduciary. Federal rules (42 CFR 483.10) require participating facilities to assure the security of resident funds, and North Carolina conditions Medicaid participation on it — a surety bond is the common way to satisfy the requirement.
Is there a credit check? +
No — the patient trust bond is issued with no credit pull. Larger bond amounts may get a quick soft-pull review, which never affects your credit score.
What does the bond protect against? +
It backs the residents’ personal funds the facility holds. If the facility misappropriates or fails to account for those funds, a harmed resident — or the State on their behalf — can recover against the bond. If a claim is paid, the facility repays the surety; it is not insurance for the facility.
Related bonds

Other New York bonds.

Patient trust bond, issued today.

Five-minute application, flat 3%, $275 minimum. Enter the resident funds you hold and file the same day.

Your premium @ 3%$300
Apply now →